Predictors and clinical significance of angiographically detected distal embolization after primary percutaneous coronary interventions

• DOI: 10.1097/mca.0b013e3282a3064e
• Publication Date: 2007-08-13T07:01:46Z
• Authors: Akin Izgi; Cevat Kirma; Ali Cevat Tanalp; Cihan Dundar; Vecih Oduncu; Soe Moe Aung; Kenan Sonmez; Bulent Mutlu; Denyan Mansuroglu
• Keywords: TIMI

Objectives The aim of this study was to investigate clinical, angiographic and procedural predictors distal embolization (DE) on angiography after primary percutaneous coronary intervention (PCI). impact DE outcome in the first 30 days also assessed. Methods Between January 2004 April 2006, PCI performed 212 consecutive patients with acute myocardial infarction (AMI) ≤12-h duration. Results Distal present 27 (12.7%) more often observed female sex (27.5 vs. 10.4%, P=0.01), right artery involvement (52 28%, P=0.02), prerevascularization thrombolysis flow ≤1 (89 69%, P=0.03), presence high thrombus burden (92.6 39.5%, P=0.0009), a long target lesion infarct-related (>14.5 mm, 74 29%, P<0.0001). By multiple stepwise logistic regression analysis, only before procedure [odds ratio (OR)=5.2, 95% confidence interval (CI)=1.09–24.97, P=0.03)] length OR=3.9, CI=1.45–10.60, P=0.007) were found independent DE. Patients had an increased risk vessel revascularization (26 5%, P=0.001) short-term mortality (29.6 7.5%, P=0.002) when compared without signs embolization. Conclusions In who undergo PCI, and/or increase subsequent mortality.